| NPI | 1124113949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISANDRO C FIS Owner President 305-256-1180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: FL PH21464) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2016-01-05 |